Jacqueline Nicole Maxam, - Audiologist in Appleton, WI

Jacqueline Nicole Maxam, is a Audiologist based in Appleton, Wisconsin. Jacqueline Nicole Maxam is licensed to practice in Wisconsin (license number 471-156) and her current practice location is 1520 N Meade St, Appleton, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 734-7181.

NPI number for Jacqueline Nicole Maxam is 1407055528 and her current mailing address is 1520 N Meade St, Appleton, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407055528.

Contact Information

Jacqueline Nicole Maxam,
1520 N Meade St,
Appleton, WI 54911-3762
(920) 734-7181
(920) 734-0621

Map and Direction




Healthcare Provider's Profile

Full NameJacqueline Nicole Maxam
GenderFemale
SpecialityAudiologist
Location1520 N Meade St, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407055528
  • Provider Enumeration Date: 07/18/2007
  • Last Update Date: 10/12/2011

Medical Identifiers

Medical identifiers for Jacqueline Nicole Maxam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407055528NPI-NPPES
41150900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 471-156 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Nicole Maxam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Nicole Maxam,
1520 N Meade St,
Appleton, WI 54911-3762

Ph: (920) 734-7181
Jacqueline Nicole Maxam,
1520 N Meade St,
Appleton, WI 54911-3762

Ph: (920) 734-7181

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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